{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,21]],"date-time":"2026-08-21T13:11:57Z","timestamp":1787317917384,"version":"build-2736575974"},"reference-count":51,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T00:00:00Z","timestamp":1781568000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["esskajournals.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Knee surg. sports traumatol. arthrosc."],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>To characterise rehabilitation protocols after transtibial pullout repair for medial meniscus posterior root tears (MMPRTs) and evaluate whether study\u2010level rehabilitation parameters were associated with longitudinal changes in patient\u2010reported outcome measures (PROMs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A systematic database search was conducted from inception to 2 June 2025, and updated on 2 February 2026. Study\u2010level data were extracted, including rehabilitation protocols and PROMs. For each study, mean change scores were calculated as the difference between post\u2010operative follow\u2010up and preoperative baseline PROM values. When not reported, the standard deviation of the change score was imputed from baseline and follow\u2010up standard deviations assuming a pre\u2010post correlation (\n                      <jats:italic>r<\/jats:italic>\n                      ) of 0.5; sensitivity analyses used\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.3 and\n                      <jats:italic>r<\/jats:italic>\n                      \u2009=\u20090.7. Random\u2010effects meta\u2010analysis with Hartung\u2013Knapp adjustment determined overall PROM improvement, and rehabilitation variable effects were tested through study\u2010level meta\u2010regression.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 31 studies were included, with 17 in the meta\u2010analysis. Pooled mean change scores demonstrated substantial post\u2010operative improvements in International Knee Documentation Committee (IKDC) (28.5 [95% confidence interval [CI] 23.8\u201333.2]), Knee injury and Osteoarthritis Outcome Score Quality of Life (KOOS QoL) (33.9 [95% CI 22.2\u201345.6]), KOOS Sport\/Rec (33.1 [95% CI 26.0\u201340.3]), and visual analog scale (VAS) pain (\u221234.6 [95% CI \u221240.1 to \u221229.1]) scores. Pooled estimates were stable using alternative assumptions for change\u2010score variance. Comparing USA and Asian cohorts, bracing duration differed significantly, with USA cohorts more commonly using post\u2010operative bracing for \u22656 weeks; other evaluated rehabilitation variables did not differ significantly. No detectable associations were identified in exploratory study\u2010level meta\u2010regression analyses, although between\u2010study heterogeneity was substantial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Rehabilitation protocols after transtibial pullout repair for MMPRTs are heterogeneous. Patients demonstrated substantial longitudinal PROM improvements; however, no detectable associations were identified between evaluated rehabilitation protocol variables and IKDC improvement. These findings are limited by observational study design, high heterogeneity, ecological bias and insufficient power.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Level of Evidence<\/jats:title>\n                    <jats:p>Level IV.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ksa.70491","type":"journal-article","created":{"date-parts":[[2026,6,16]],"date-time":"2026-06-16T10:17:00Z","timestamp":1781605020000},"page":"2647-2660","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Postoperative rehabilitation after transtibial pullout repair of medial meniscus posterior root tears: A systematic review and meta\u2010analysis"],"prefix":"10.1002","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-1463-4014","authenticated-orcid":false,"given":"Mutaz Mohamed","family":"Tageldein","sequence":"first","affiliation":[{"name":"Michael G. 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